The value of ultrasound in preoperative diagnosis of traumatic nerve injuries in forearm and hand.

Assy, Mostafa Mohamad; Dawood, Haitham A.; Khamis, Mai

doi:10.21608/zumj.2019.19002.1612

The value of ultrasound in preoperative diagnosis of traumatic nerve injuries in forearm and hand.

Document Type : Original Article

Authors

¹ Department od Radiodiagnosis, Zagazig University, Zagazig, Egypt

² Department of Radiodiagnosis, Zagazig University, Zagazig, Egypt

³ radiodiagnosis department, faculty of human medicine, zagazig university

10.21608/zumj.2019.19002.1612

Abstract

OBJECTIVE:
This study aimed to detect the role of ultrasound (US) in preoperative diagnosis of traumatic nerve injuries in the forearm and hand and correlation with operative findings.
PATIENTS AND METHODS:
Thirty patients (30) with thirty one (31) traumatic median, ulnar and radial nerve injuries in forearm and hand were evaluated by ultrasound. All patients underwent surgical exploration and the sonographic findings were compared with the surgical data.
RESULTS:
Neuroma in-continuity was the most common US finding found in fourteen (14) injured nerves (45.2%). Followed by complete tear found in seven (7) injured nerves (22.6%). Incomplete tear is the least common findings found only in two (2) injured nerves (6.5%) The preoperative US findings in our study had agreed with intra-operative data in twenty nine (29) out of thirty one (31) injured nerves (93.5%).
CONCLUSION:
Ultrasonography provides an economical and accurate imaging modality that can be utilized in diagnosis, assessment and treatment planning of traumatic peripheral nerve injuries.

Keywords

Main Subjects